World Journal of Laparoscopic Surgery

Register      Login

VOLUME 4 , ISSUE 1 ( January-April, 2011 ) > List of Articles

RESEARCH ARTICLE

Laparoscopic versus Open Management of Hydatid Cyst of Liver

Falih Mohssen Ali

Citation Information : Ali FM. Laparoscopic versus Open Management of Hydatid Cyst of Liver. World J Lap Surg 2011; 4 (1):7-11.

DOI: 10.5005/jp-journals-10007-1108

Published Online: 01-08-2013

Copyright Statement:  Copyright © 2011; The Author(s).


Abstract

Background

To compare laparoscopic versus open management of the hydatid cyst of liver regarding recurrence rate, the surgical approach to liver echinococcosis is still a controversial issue. This study shows our results of surgical treatment of liver hydatid cysts during a 5 years period.

Methods

A prospective study of 32 patients operated on in a 5-year period (1999-2003) in Dubrava University Hospital, Zagreb, Croatia, with hepatic hydatid cyst. All patients were preoperatively treated with albendazole. In 32 patients, total pericystectomy without opening the cyst cavity was performed laparoscopically, other procedures were used as surgical approach.

Results

There was no mortality after 5 to 6 months follow-up, but in one patient, in the open partial pericystectomy group, recurrence of the disease occurred after 2 to 3 years. When a laparoscopic procedure was done, there were no complications or recurrence. The median operative duration for open surgery was 100.0 minutes (range 60.0-210.0) and for laparoscopic surgery 67.5 minutes (range 60.0-120.0). The median length of hospitalization for open surgery was 8.0 days (range 7.0-14.0) and for laparoscopic surgery 5.0 days (range 4.0-7.0).

Conclusion

Total pericystectomy without opening the cyst cavity, preceded by preoperative albendazole therapy is the method of choice for hepatic hydatid cyst treatment. Despite the small group of patients, our first results show laparoscopic total pericystectomy, without opening the cyst cavity, in the treatment of hepatic hydatid cyst.


PDF Share
  1. Changing concepts in the management of liver hydatid disease. J Gastrointest Surg. Jul-Aug 2005;9(6):869-77.
  2. Liver abscess and hydatid cyst disease. Mangot's abdominal operations Prentice Hall International Inc 1997;1534-37.
  3. Epidemiology of Echinococcus granulosus infection in central Peruvian Andes. Bull: World Health Organization Organ 1997;75(6):553-61.
  4. Management of a patient with hepatic, thoracic–pelvic and omental hydatid cyst and postoperative biliocutenous fistula. A case report. Hepato gastroenterology 1999.
  5. Laparoscopic approach to hidatid liver cyst. Is it logical? Physical, experimental and practical aspects. J Surgical Endoscopy 1998;12 (8).
  6. The laparoscopic approach to abdominal hydatid cysts. Arch Surg 2001;136.
  7. Istanbul University, Istanbul Faculty of Medicine, Department of Surgery, Istanbul, Turkey.
  8. Emergence/re-emergence of Echinococcus spp: a global update. Int J Parasitol 2005;35:1205-19.
  9. Efficacy of chlorhexidine gluconate during surgery for hydatid cyst. World J Surg 2009;33:1274-80.
  10. Surgical management of liver hydatidosis: A multicentre series of 1412 patients. Liver Int 2010;30:85-93.
  11. The optimal treatment of hydatid cyst of the liver: Radical surgery with a significant reduced risk of recurrence. Turk J Gastroenterol 2008;19:33-39.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.